Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children

Wei Cai; Yang Wenbin; Liao Hailang; Zeng Lingyuan

doi:doi:10.11648/j.ijcems.20180404.11

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Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children

Wei Cai, Yang Wenbin, Liao Hailang, Zeng Lingyuan

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 4, Issue 4)

Received: 15 August 2018 Accepted: 14 September 2018 Published: 12 October 2018

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Abstract

Objective: To assess the efficacy of open reduction internal fixation (ORIF) combined with fixed-time and fixed-angle external fixation (FTFAEF) in the treatment of Gartland type III supracondylar humerous fracture (SHF) in children. Methods: Clinical data of 172 children with Gartland type III SHF from March 2012 to December 2017 were prospectively analyzed. All 172 patients were initially treated with ORIF, then 86 underwent FTFAEF for 3 weeks post-surgery (intervention group) while the remaining 86 received conventional plaster external fixation (70°-90°) for 3 weeks post-surgery (control group). The plaster casts were removed from both groups after the 3-week fixation period and functional exercise was initiated. Regular clinical and radiologic follow-ups were conducted on all patients. Range of motion (ROM) measurements and modified Hospital for Special Surgery (HSS) elbow function assessments were performed at 1 and 3 months post-surgery. Results: At 1 month post-surgery, both ROM and modified HSS scores were significantly higher in the intervention group (85.8±6.1° and 65.2±3.6°, respectively) than in the control group (62.3±5.2° and 56.6±2.1°, respectively)(both P<0.05). After 3 months, both ROM and modified HSS scores were still significantly higher in the intervention group (132.0±4.7° and 98.5±1.3°, respectively) than in the control group (107.5±24.4° and 85.0±10.3°, respectively) (both P<0.05). Furthermore, the percentage of patients scoring excellent on the HSS scale was significantly higher in the intervention group (100%) than in the control group (74.42%) (P<0.05). Conclusions: ORIF combined with FTFAEF is an efficacious approach that should be widely promoted for the treatment of Gartland type III SHF in children.

Published in	International Journal of Clinical and Experimental Medical Sciences (Volume 4, Issue 4)
DOI	10.11648/j.ijcems.20180404.11
Page(s)	57-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Supracondylar Humerous Fracture, Children, Open Reduction Internal Fixationn, Dysfunction, External Fixation

References

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APA Style

Wei Cai, Yang Wenbin, Liao Hailang, Zeng Lingyuan. (2018). Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children. International Journal of Clinical and Experimental Medical Sciences, 4(4), 57-62. https://doi.org/10.11648/j.ijcems.20180404.11

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ACS Style

Wei Cai; Yang Wenbin; Liao Hailang; Zeng Lingyuan. Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children. Int. J. Clin. Exp. Med. Sci. 2018, 4(4), 57-62. doi: 10.11648/j.ijcems.20180404.11

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AMA Style

Wei Cai, Yang Wenbin, Liao Hailang, Zeng Lingyuan. Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children. Int J Clin Exp Med Sci. 2018;4(4):57-62. doi: 10.11648/j.ijcems.20180404.11

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@article{10.11648/j.ijcems.20180404.11,
  author = {Wei Cai and Yang Wenbin and Liao Hailang and Zeng Lingyuan},
  title = {Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {4},
  number = {4},
  pages = {57-62},
  doi = {10.11648/j.ijcems.20180404.11},
  url = {https://doi.org/10.11648/j.ijcems.20180404.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20180404.11},
  abstract = {Objective: To assess the efficacy of open reduction internal fixation (ORIF) combined with fixed-time and fixed-angle external fixation (FTFAEF) in the treatment of Gartland type III supracondylar humerous fracture (SHF) in children. Methods: Clinical data of 172 children with Gartland type III SHF from March 2012 to December 2017 were prospectively analyzed. All 172 patients were initially treated with ORIF, then 86 underwent FTFAEF for 3 weeks post-surgery (intervention group) while the remaining 86 received conventional plaster external fixation (70°-90°) for 3 weeks post-surgery (control group). The plaster casts were removed from both groups after the 3-week fixation period and functional exercise was initiated. Regular clinical and radiologic follow-ups were conducted on all patients. Range of motion (ROM) measurements and modified Hospital for Special Surgery (HSS) elbow function assessments were performed at 1 and 3 months post-surgery. Results: At 1 month post-surgery, both ROM and modified HSS scores were significantly higher in the intervention group (85.8±6.1° and 65.2±3.6°, respectively) than in the control group (62.3±5.2° and 56.6±2.1°, respectively)(both P<0.05). After 3 months, both ROM and modified HSS scores were still significantly higher in the intervention group (132.0±4.7° and 98.5±1.3°, respectively) than in the control group (107.5±24.4° and 85.0±10.3°, respectively) (both P<0.05). Furthermore, the percentage of patients scoring excellent on the HSS scale was significantly higher in the intervention group (100%) than in the control group (74.42%) (P<0.05). Conclusions: ORIF combined with FTFAEF is an efficacious approach that should be widely promoted for the treatment of Gartland type III SHF in children.},
 year = {2018}
}

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TY  - JOUR
T1  - Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children
AU  - Wei Cai
AU  - Yang Wenbin
AU  - Liao Hailang
AU  - Zeng Lingyuan
Y1  - 2018/10/12
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcems.20180404.11
DO  - 10.11648/j.ijcems.20180404.11
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 57
EP  - 62
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20180404.11
AB  - Objective: To assess the efficacy of open reduction internal fixation (ORIF) combined with fixed-time and fixed-angle external fixation (FTFAEF) in the treatment of Gartland type III supracondylar humerous fracture (SHF) in children. Methods: Clinical data of 172 children with Gartland type III SHF from March 2012 to December 2017 were prospectively analyzed. All 172 patients were initially treated with ORIF, then 86 underwent FTFAEF for 3 weeks post-surgery (intervention group) while the remaining 86 received conventional plaster external fixation (70°-90°) for 3 weeks post-surgery (control group). The plaster casts were removed from both groups after the 3-week fixation period and functional exercise was initiated. Regular clinical and radiologic follow-ups were conducted on all patients. Range of motion (ROM) measurements and modified Hospital for Special Surgery (HSS) elbow function assessments were performed at 1 and 3 months post-surgery. Results: At 1 month post-surgery, both ROM and modified HSS scores were significantly higher in the intervention group (85.8±6.1° and 65.2±3.6°, respectively) than in the control group (62.3±5.2° and 56.6±2.1°, respectively)(both P<0.05). After 3 months, both ROM and modified HSS scores were still significantly higher in the intervention group (132.0±4.7° and 98.5±1.3°, respectively) than in the control group (107.5±24.4° and 85.0±10.3°, respectively) (both P<0.05). Furthermore, the percentage of patients scoring excellent on the HSS scale was significantly higher in the intervention group (100%) than in the control group (74.42%) (P<0.05). Conclusions: ORIF combined with FTFAEF is an efficacious approach that should be widely promoted for the treatment of Gartland type III SHF in children.
VL  - 4
IS  - 4
ER  -

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Author Information

Wei Cai

Department of Orthopedics, People's Hospital of Laibin, Laibin, China
Yang Wenbin

Department of Orthopedics, People's Hospital of Laibin, Laibin, China
Liao Hailang

Department of Orthopedics, People's Hospital of Laibin, Laibin, China
Zeng Lingyuan

Department of Orthopedics, People's Hospital of Laibin, Laibin, China

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Plain Text BibTeX RIS

APA Style

Wei Cai, Yang Wenbin, Liao Hailang, Zeng Lingyuan. (2018). Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children. International Journal of Clinical and Experimental Medical Sciences, 4(4), 57-62. https://doi.org/10.11648/j.ijcems.20180404.11

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ACS Style

Wei Cai; Yang Wenbin; Liao Hailang; Zeng Lingyuan. Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children. Int. J. Clin. Exp. Med. Sci. 2018, 4(4), 57-62. doi: 10.11648/j.ijcems.20180404.11

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AMA Style

Wei Cai, Yang Wenbin, Liao Hailang, Zeng Lingyuan. Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children. Int J Clin Exp Med Sci. 2018;4(4):57-62. doi: 10.11648/j.ijcems.20180404.11

Copy | Download

@article{10.11648/j.ijcems.20180404.11,
  author = {Wei Cai and Yang Wenbin and Liao Hailang and Zeng Lingyuan},
  title = {Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {4},
  number = {4},
  pages = {57-62},
  doi = {10.11648/j.ijcems.20180404.11},
  url = {https://doi.org/10.11648/j.ijcems.20180404.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20180404.11},
  abstract = {Objective: To assess the efficacy of open reduction internal fixation (ORIF) combined with fixed-time and fixed-angle external fixation (FTFAEF) in the treatment of Gartland type III supracondylar humerous fracture (SHF) in children. Methods: Clinical data of 172 children with Gartland type III SHF from March 2012 to December 2017 were prospectively analyzed. All 172 patients were initially treated with ORIF, then 86 underwent FTFAEF for 3 weeks post-surgery (intervention group) while the remaining 86 received conventional plaster external fixation (70°-90°) for 3 weeks post-surgery (control group). The plaster casts were removed from both groups after the 3-week fixation period and functional exercise was initiated. Regular clinical and radiologic follow-ups were conducted on all patients. Range of motion (ROM) measurements and modified Hospital for Special Surgery (HSS) elbow function assessments were performed at 1 and 3 months post-surgery. Results: At 1 month post-surgery, both ROM and modified HSS scores were significantly higher in the intervention group (85.8±6.1° and 65.2±3.6°, respectively) than in the control group (62.3±5.2° and 56.6±2.1°, respectively)(both P<0.05). After 3 months, both ROM and modified HSS scores were still significantly higher in the intervention group (132.0±4.7° and 98.5±1.3°, respectively) than in the control group (107.5±24.4° and 85.0±10.3°, respectively) (both P<0.05). Furthermore, the percentage of patients scoring excellent on the HSS scale was significantly higher in the intervention group (100%) than in the control group (74.42%) (P<0.05). Conclusions: ORIF combined with FTFAEF is an efficacious approach that should be widely promoted for the treatment of Gartland type III SHF in children.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Fixed Time and Fixed Angle External Fixation in the Treatment of Gartland Type III Supracondylar Humerous Fractures in Children
AU  - Wei Cai
AU  - Yang Wenbin
AU  - Liao Hailang
AU  - Zeng Lingyuan
Y1  - 2018/10/12
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcems.20180404.11
DO  - 10.11648/j.ijcems.20180404.11
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 57
EP  - 62
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20180404.11
AB  - Objective: To assess the efficacy of open reduction internal fixation (ORIF) combined with fixed-time and fixed-angle external fixation (FTFAEF) in the treatment of Gartland type III supracondylar humerous fracture (SHF) in children. Methods: Clinical data of 172 children with Gartland type III SHF from March 2012 to December 2017 were prospectively analyzed. All 172 patients were initially treated with ORIF, then 86 underwent FTFAEF for 3 weeks post-surgery (intervention group) while the remaining 86 received conventional plaster external fixation (70°-90°) for 3 weeks post-surgery (control group). The plaster casts were removed from both groups after the 3-week fixation period and functional exercise was initiated. Regular clinical and radiologic follow-ups were conducted on all patients. Range of motion (ROM) measurements and modified Hospital for Special Surgery (HSS) elbow function assessments were performed at 1 and 3 months post-surgery. Results: At 1 month post-surgery, both ROM and modified HSS scores were significantly higher in the intervention group (85.8±6.1° and 65.2±3.6°, respectively) than in the control group (62.3±5.2° and 56.6±2.1°, respectively)(both P<0.05). After 3 months, both ROM and modified HSS scores were still significantly higher in the intervention group (132.0±4.7° and 98.5±1.3°, respectively) than in the control group (107.5±24.4° and 85.0±10.3°, respectively) (both P<0.05). Furthermore, the percentage of patients scoring excellent on the HSS scale was significantly higher in the intervention group (100%) than in the control group (74.42%) (P<0.05). Conclusions: ORIF combined with FTFAEF is an efficacious approach that should be widely promoted for the treatment of Gartland type III SHF in children.
VL  - 4
IS  - 4
ER  -

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